Individual
PEDRO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
8738 SW 24TH ST, MIAMI, FL 33165-2006
(305) 552-7455
Mailing address
8738 SW 24TH ST, MIAMI, FL 33165-2006
(305) 552-7455
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1021
FL
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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